Transgenerational processes and the trauma of sexual abuse

The process of the unconscious transmission of trauma between generations has been written about within the psychoanalytic field since Freud. the concept was further developed by psychoanalysts in their work with second generation survivors of the Holocaust. the particular characteristic is that it is a transmission that takes place silently and in secret, but actively. It is especially found in families where there is an inhibition against thinking. It is suggested in this paper that the concept could be usefully considered in families where a parent is a survivor of child sexual abuse but has kept the trauma a secret. Clinical examples illustrate how children in such families may carry the unconscious dynamics which can emerge into consciousness through symptomatology in the child.     

The influence of victim intoxication and victim attire on police responses to sexual assault

Limited research exists on the impact of contextual factors such as victim intoxication and victim attire on police processing of a case of sexual assault. The effects of these variables were examined in a simulated sexual assault case. Participants were 125 detectives from the New South Wales Police Department. Officers read controverted witness statements and viewed photographs pertaining to an investigation of a report of date rape. Contrary to findings in earlier studies, complainant intoxication, ‘provocative’ dress, and gender of the officer had no influence on the likelihood of charging the alleged offender. Factors predictive of pressing charges were the perceived credibility of the complainant and culpability of the alleged offender. Credibility and guilt judgements were themselves influenced by the level of rape myth acceptance endorsed by the officers. Rape myth acceptance also exerted a number of other effects on case evaluations. Implications for future studies and education and training programmes for police on sexual assault were discussed. Copyright © 2010 John Wiley & Sons, Ltd.     

To honor and obey: Perceptions and disclosure of sexual assault among honor ideology women

The overwhelming majority of rapes goes unreported. To better understand the sociocultural mechanisms behind why underreporting may occur, three studies (total n = 1,481) examine how women's endorsement of honor values influence the perceptions of rape. Using vignettes that varied the closeness of the perpetrator of a sexual assault (i.e., stranger, acquaintance, or husband), we found that women who endorse honor values of womanhood were less likely to label a forced sexual act as “rape” and to suggest that the victim discloses the rape to others, including to the police. This was especially true the closer the victim was to the perpetrator (e.g., husband vs. stranger). Our findings highlight the effects of honor values on perceived sexual assault and the consequences of disclosure, and may aid in understanding barriers to rape reporting and areas for intervention.

     

Therapeutic response to Cognitive Processing Therapy in White and Black female veterans with military sexual trauma-related PTSD

Cognitive Processing Therapy (CPT) is an evidence-based treatment (EBT) for posttraumatic stress disorder (PTSD) which has been validated for female veterans with military-related PTSD. Existing trials have enrolled predominantly White veterans with some studies documenting higher rates of early termination from EBTs among Black females when compared to White females. Data from a previously published randomized clinical trial were used to evaluate the effectiveness of CPT for Black female veterans with military sexual trauma (MST)-related PTSD. Reductions in PTSD symptom severity, number of sessions attended, and early termination rates were compared between Black (n = 20) and White (n = 16) female veterans. A hierarchical linear modeling approach was used, with PTSD symptom severity over the course of treatment and follow-up entered as a level-1 variable and race (Black or White) entered as a level-2 predictor. Piecewise growth curves analyses revealed that both Black and White female veterans experienced significant reductions in PTSD symptom severity over the course of treatment and gains were maintained up to 6 months post-treatment. Race was not found to be a significant predictor of change in the slope of PTSD symptom severity over the course of CPT treatment. Additionally, number of sessions attended and rates of early termination did not significantly differ based on race. Results suggest that CPT was a well-tolerated and effective psychotherapeutic treatment for this sample regardless of racial self-identification.     

The expression of the genes of aggressiveness in mice: The effect of androgen on aggression and sexual behavior in females

Female mice of strains selectively bred for aggressiveness or nonaggressiveness were injected with testosterone propionate (TF′) at the age of 2 days and as adults, or they were injected as adults only. Aggressive and sexual behavior was then tested with female, receptive female, and male partners before, during, and after the latter TP treatment. The females that had received both TP treatments displayed as much or as little aggression as males of the same strain, leading to the conclusion that aggressiveness genes are not linked with the male sex chromosome, even though they depend on it for their expression. The sexual behavior of the females of both strains that had received both TP treatments was altered to the male type. In the females of the aggressive strain even adult treatment alone was sufficient for this change. Aggressiveness and male sexual behavior would seem to be determined separately, although aggressiveness facilitates the display of male sexual behavior.     

A preliminary examination of the role of psychotherapist fidelity on outcomes of cognitive processing therapy during an RCT for military sexual trauma-related PTSD

While cognitive processing therapy (CPT) is an effective evidence-based treatment for many veterans with military-related post-traumatic stress disorder (PTSD), not all veterans experience therapeutic benefit. To account for the discrepancy in outcomes, researchers have investigated patient- and research design-related factors; however, therapist factors (e.g. fidelity) have received less attention. The present study is a preliminary examination of the effect of psychotherapists’ fidelity during CPT on clinical outcomes during a randomized clinical trial (RCT) for military sexual trauma-related PTSD. PTSD symptoms, trauma-related negative cognitions (NCs), and depression symptoms were assessed for 72 participants at baseline, and 1-week, 2-month, 4-month, and 6-month posttreatment. Of the four CPT therapists, two were found to have significantly poorer (i.e. “below average”) treatment fidelity scores compared to the other two therapists who had “good” treatment fidelity scores. To examine possible therapist effects on outcomes, hierarchical linear modeling was utilized with therapist fidelity entered as a Level 2 predictor. Participants treated by a therapist with “good” treatment fidelity experienced significantly greater reductions in PTSD symptoms, NCs, and depression symptoms than patients treated by a therapist with “below average” treatment fidelity. Our preliminary findings highlight the importance of monitoring, maintaining, and reporting fidelity in psychotherapy treatment RCTs.     

Retrieval-induced forgetting after trauma: A study with victims of sexual assault

The Retrieval-Induced Forgetting (RIF) paradigm is used to study how the repeated retrieval practice of particular memories impairs the retrieval of related memory traces. A study is reported where this automatic form of forgetting was investigated in a group of sexual-assault victims and a control group. Using a recognition-cued RIF task, the present study examined RIF with neutral, positive, negative and trauma-specific stimuli. Response time data showed that irrespective of previous trauma exposure, a RIF effect was observed for neutral material, but not for emotional material. No differences in RIF between the trauma group and the control group were found. Inconsistencies with previous literature and the implications for emotional memory are discussed.     

Trigger warnings,covenants of presence,and more: Cultivating safe space for theological discussions about sexual trauma

Sexual assault is prevalent, but many educators find themselves ill‐prepared to address it in the classroom. This article conceptualizes a trauma sensitive pedagogy that engages the psychological, social, and theological implications of sexual assault for classroom conversations about sex and sexuality. First, the article examines the impact of the classic power disparity between student and teacher as a dynamic that can trigger recall of the abuse of power inherent in sexual violence. Next the article reframes understandings of trigger warnings to consider how they can be used to support educators in taking seriously the vulnerability of those who have experienced sexual assault. The article also presents perspectives on the role of “teacher self‐disclosure” in facilitating conversations that acknowledge sexual assault, followed by a teaching strategy that demonstrates pedagogical sensitivity to trauma. Suggestions on how to support students through and beyond conversations that can trigger traumatic stress conclude the article.     

The relationship between personality organization and sexual life in a community sample of men

Contemporary object-relation theory of personality postulates that the level of severity of personality organization parallels the nature and extent of problems in the patient’s sexual life. The study aims at exploring the relationship between dimensions of Borderline Personality Organization (BPO) (as assessed according to Otto Kernberg’s model), sexual functioning, quality of sexual life and paraphilias in a community sample of men. One-hundred and thirty-six healthy men were asked to complete a set of questionnaires including the Inventory of Personality Organization (IPO), the International Index of Erectile Function, the Sexual Quality of Life Questionnaire, and a checklist to assess the prevalence of paraphilias. High scores on IPO subscales were significantly associated with low overall satisfaction in sexual functioning, low quality of sexual life, and the presence of paraphilias. Results expand previous findings on the relationship between features of BPO and core components of sexual life and support the need for an assessment of personality functioning in subjects reporting sexual problems.     

The credibility of sexual abuse allegations: Child sexual abuse, adult rape, and sexual harassment

Allegations and denials of sexual abuse often occur in a context in which there is rarely decisive evidence. The present study investigated the credibility of allegations of three kinds of sexual abuse—child sexual abuse, adult rape, and sexual harassment—that also contained a denial by the alleged perpetrator. Perceptions of fair punishment were investigated for the perpetrator if he did actually commit these acts and for the accuser if she was lying. Results indicated that allegations were generally rated in the credible direction. Allegations of child sexual abuse were rated more credible than allegations of rape or sexual harassment. Females found all allegations more credible than males. Males were more likely to believe allegations in the child sexual abuse condition than either the rape or sexual harassment conditions. Females were more likely to believe sexual harassment allegations. Punishments were generally the most severe for child sexual abuse, and psychotherapy was a popular disposition for both perpetrators and those making false allegations.     

The role of STI-related attitudes on screening attendance in young adults

This study assessed whether attitudes towards STI screening, visiting a clinic and having an STI (STI stigma) predict STI screening attendance in young adults. Participants (N = 217) rated each of these attitudes and completed measures assessing their STI knowledge, past sexual behaviour and sexual health. STI stigma and having favourable attitudes towards STI screening positively predicted screening attendance. People were less likely to attend if they had a negative attitude towards visiting sexual health clinics. Researchers should assess attitudes towards the attitude object (screening), condition (STI stigma) and process (visiting a clinic) to understand the different ways that attitudes predict behaviour.     

Public house patrons' engagement in hypothetical sexual assault: a test of Alcohol Myopia Theory in a field setting

Previous research has found that drinking establishments are often antecedent to sexual aggression outcomes. In this study, male participants were randomly selected from public houses (i.e., "pubs") and asked to imagine themselves in a hypothetical intimate encounter in which the female in the scenario stops consenting to sexual contact. Participants were given the option to continue making sexual advances up to and including sexual intercourse against the woman's will. It was hypothesized based on Alcohol Myopia Theory that participant blood alcohol concentration (BAC) levels would be associated with hypothetical sexual aggression when stereotypical cues of a woman's sexual availability (revealing clothing and alcohol use) were present in the scenario. Men's engagement in hypothetical sexual aggression was associated with BAC levels, but only when the woman was wearing revealing clothing. The sobriety of the female actor was not associated with sexual aggression. Results indicate that Alcohol Myopia Theory generalizes to a field setting.     

The transgenerational trauma and resilience genogram

The understanding of trauma within counseling has expanded to include the salience of ecosystemic factors and to acknowledge the importance of multicultural and social justice considerations. Transgenerational trauma and resilience offers a framework that examines trauma across generations, attends to ecosystemic concerns, and adheres to a strengths-based perspective. However, given the complexity of trauma counseling and attending to the multitude of ecosystemic factors, counselors and psychologists may struggle to conduct comprehensive assessments and interventions with their clients. Genograms have long been used to clarify complex family and psychological patterns through visual representations, and are, therefore, a promising tool to meet this need. The Transgenerational Trauma and Resilience Genogram (TTRG) was created as a dynamic tool that can assist practitioners in conducting compressive trauma assessment and intervention from a transgenerational trauma and resilience framework. The TTRG emphasizes an ecosystemic view of trauma, culturally relevant and strength-based interventions, and attention to sociopolitical concerns that may impact trauma and recovery. The author explicates the use of the TTRG in trauma counseling, including the theoretical foundations and implications for trauma and recovery. A case example of the use of the TTRG and implications for counseling practice using the TTRG and its guiding principles are provided.     

Recovering memories of trauma: A view from the laboratory

The controversy over the validity of repressed and recovered memories of childhood sexual abuse (CSA) has been extraordinarily bitter. Yet data on cognitive functioning in people reporting repressed and recovered memories of trauma have been strikingly scarce. Recent laboratory studies have been designed to test hypotheses about cognitive mechanisms that ought to be operative if people can repress and recover memories of trauma or if they can form false memories of trauma. Contrary to clinical lore, these studies have shown that people reporting CSA histories are not characterized by a superior ability to forget trauma-related material. Other studies have shown that individuals reporting recovered memories of either CSA or abduction by space aliens are characterized by heightened proneness to form false memories in certain laboratory tasks. Although cognitive psychology methods cannot distinguish true memories from false ones, these methods can illuminate mechanisms for remembering and forgetting among people reporting histories of trauma.     

Negative urgency and risky sexual behaviors: A clarification of the relationship between impulsivity and risky sexual behavior

How does impulsivity relate to risky sexual behavior? Whereas some research has attempted to answer this question in terms of global impulsivity, past research has demonstrated the need to conceptualize impulsivity as a multifaceted trait (Whiteside & Lynam, 2001). Research has been mixed as to which facets of impulsivity predict risky sexual behavior. The major aim of this project was to further the understanding between the five facets of impulsivity (positive urgency, negative urgency, lack of premeditation, sensation-seeking, and lack of perseverance) and risky sexual behavior. This study used a longitudinal design and showed that risky sex was highest among people who act rashly on the basis of negative emotion (negative urgency) and who crave novel, exciting situations (sensation seeking). These findings add to a growing body of literature on the importance of different facets of impulsivity in predicting risky sexual behavior.